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DEPARTMENT OF DEVELOPMENTAL SERVICES

Intermediate Care Facility, Mentally Retarded

Shrewsbury, Massachusetts

Provider NPI: 1659594976

Organization Information:
Organization Name:  DEPARTMENT OF DEVELOPMENTAL SERVICES


Practice Location:
GLAVIN REGIONAL CNTR 214 LAKE ST SHREWSBURY, MA 01545 US
Tel: 508-792-7452  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
913804MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS MA - Page 1



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